1. 1

2. 2 National Institute on Drug Abuse Community Epidemiology Work Group (CEWG) Established 1976

3. 3 United States Drug Observatories Albuquerque

4. 4 Goals: To Characterize Changes in Drug Use To Characterize Changes in Drug Use To Provide Early Identification of New To Provide Early Identification of New Patterns and Emerging Drug Abuse issues Patterns and Emerging Drug Abuse issues

5. Key Findings January 2013

6. Key Findings January 2013 1.Outbreaks of New Heroin Epidemics among White, young adults (aged 18-30) Rx Opioid Abusers and Addicts

7. Key Findings January 2013 2.Cocaine still a major problem but with declining consequences in all areas

8. All Cocaine Purchases Domestic STRIDE Data January 2007 – June 2012 * * STRIDE is a database of drug exhibits sent to DEA laboratories from the DEA, FBI, CBP, ICE, USCG, and Washington MPD. STRIDE is not a representative sample of drugs available in the United States, but reflects all evidence submitted to DEA laboratories for analysis. STRIDE data are not collected to reflect national market trends. Nonetheless, STRIDE data reflect the best information currently available on changes in cocaine price and purity. From January 2007 through June 2012, the price per pure gram of Cocaine increased 79.4%, from $97.64 to $175.16 while the purity decreased 28.3%, from 67.1% to 48.1%. *During 2 nd Qtr. 2012, the number of cocaine samples analyzed for the STRIDE dataset decreased significantly as compared to 1 st Qtr. 2012 due to resource limitations. 8 48.1 % $ 175.16 $ 97.64

9. Key Findings January 2013 3. Most drug deaths involve a combination of benzodiazepine (depressant) with opioid (narcotic pain reliever)

10. Percent of Other Drugs Detected in the 1,185 Lethal Oxycodone Deaths in Florida: 2009 Source: Analysis of 2009 Florida Medical Examiner Commission Complete Electronic Database by Nova Southeastern University Center for Study & Prevention of Substance Abuse % Detected

11. * * Bernalillo County 1,521 enrollees 96 OD Reversals 77 Heroin Deaths Rio Arriba County 279 enrollees 166 OD Reversals 12 Heroin Deaths Santa Fe County 50 enrollees 12 OD Reversals 19 Heroin Deaths Enrollees elsewhere: 79 OD Reversals elsewhere: 4 Heroin Deaths elsewhere: 55 Top Counties with Opiate Drug Overdose Deaths and DOH Harm Reduction (Naloxone) Efforts, 2010-2011 Source: OMI and DOH Harm Reduction Program. NOTE: Clients have the opportunity to enroll in the Naloxone Program at state-funded syringe exchange sites and some public health offices. 391 Reversals

12. Key Findings January 2013 4. Marijuana is ubiquitous! # 1 for rise in “drugged driving”

13. Current (past 30-day) Marijuana Use Among Broward County Middle and High School Students 2000-2012 Source: Florida Youth Substance Abuse Surveys 2000-2012

14. Percent of high school students having ridden or driven in the past 30 days with or as driver having used marijuana or alcohol RODE with Driver who had used marijuana or alcohol DROVE after using marijuana or drinking alcohol % Reporting Source: FL-DCF - 2012 Florida Youth Substance Abuse Survey

15. Key Findings January 2013 5. Emerging synthetic drugs such as fake marijuana and stimulants may have peaked in mid 2012 with less retail access but more illicit street sales

16. Methylone is beta-ketone MDMA Molly

17. Molly’s Not Pure MDMA but…. methylone bk- 3,4 methylenedioxy-methcathinone 96 Crime Lab Cases March – October 2012 in Broward County 276 Crime Lab Cases in Miami-Dade County during 2012

18. Key Findings January 2013 6. Methamphetamine consequences are stable (low where they have been low and high where they have been high). ? d or l

19. Taos Alive Improving a Community in Pain By Julie Martinez CPS

20. DEA Take Back April 28, 2012 – 20 kg Collected Taos Police Tribal Police Taos County Sherriff September 29, 2012 - Taos Police Tribal Police State Police Taos County Sherriff Questa Police Colorado State Troopers April 27, 2013 Next one.

21. Permanent Drop Box

22. Brochure for Prescriptions Lockyouremeds.org

23. Environmental Strategies  Prescriber Training  Hospital Opiate Prescribing Guidelines  Non-DEA Take Back

24. Holy Cross Hospital ER Opiate Prescribing Guidelines

25. Narcan Project M odeled on Project Lazarus. to reverse OD and keeping people alive until they can seek treatment.  Also help prevent accidental OD for children or adults taking sedative combinations.

26. Safecommunity.net Substance Abuse Prevention Integrate Mental Health Care Early Intervention. Drug Treatment. And Recovery Reduce Access To Drugs Reduce Inappropriate Rx Use Improve Poisoning Interventions

27. Patient Education for Narcan Kit

28. Prescription Drug Abuse Initiative of Taos Alive  Increase use of PDMP by local providers  Presentations to High Schools and Senior Centers

29. What is Project ECHO? Extension for Community Healthcare Outcomes Initial focus on expanding access to hepatitis C treatment Goal: Help Primary Care Practitioners in underserved areas to deliver treatment that has previously been provided only by specialists